Active NPI
Mohamed Tarek Seleem Ahmed, MD, MSC
- Diagnostic Radiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 104064
- Practice address
- 1364 Clifton Rd NE Ste D112
Atlanta, GA 30322-1059 - Phone
- (404) 712-5287
- NPI assigned
- Apr 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 104064 | GA | Primary |
| Nuclear Radiology Physician | 2085N0904X | 104064 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1364 Clifton Rd NE Ste D112
Atlanta, GA 30322-1059
Mailing address
1364 Clifton Rd NE Ste D112
Atlanta, GA 30322-1059
Other practice location 1
234 E. 149th Street
Department of Internal Medicine, Suite 8-20
New York, NY 10451
Phone (718) 579-6465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260417000691 | GA | Practitioner - Diagnostic Radiology | 2062942329 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic IncEmory Medical Care Foundation Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Hospital & facility affiliations
- Emory University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104064 | GA | MD | Nuclear Radiology Physician |
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Lagrange, GA
- NPI 1285912600
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1295748531
-
- Ambulatory Surgical Clinic/Center
- Decatur, GA
- NPI 1306472063
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1346403854
-
- Ambulatory Surgical Clinic/Center
- Jonesboro, GA
- NPI 1386165504
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1811765902
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1023359627
-
- Ambulatory Surgical Clinic/Center
- Tucker, GA
- NPI 1952098667
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1922627488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE STE D112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE STE D112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303221059",
"telephone_number": "404-712-5287"
}
],
"practiceLocations": [
{
"address_1": "234 E. 149th Street",
"address_2": "Department of Internal Medicine, Suite 8-20",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10451",
"country_code": "US",
"telephone_number": "718-579-6465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "MOHAMED TAREK",
"middle_name": "SELEEM",
"name_prefix": "Dr.",
"credential": "MD, MSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-14",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "104064",
"primary": true
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "GA",
"license": "104064",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.